Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ITE 2015 + 2016 > General Information > Flashcards

General Information Flashcards

1
Q

Best evidence in a study?

A
  1. Systematic reviews
  2. Meta analysis
  3. Randomized Clinical trials
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Geriatric with low Hgb, low serum iron, normal TIBC, Normal Ferritin, low MCV
Thx

A

Give Ferrous Sulfate oral TID and recheck in 1 and 3 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Patient oriented out come that should be discussed during shared decision making?

A

A decrease in all cause mortality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

True about Live attenuated intranasal influenza vaccine

A

It is more effective in age 2-6 than inactivated vaccine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Alcohol management option supported by evidence

A

Chlordiazepoxide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Confirm DX of Septic Shock?

A

High Lactate level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Leading cause of death in RA PT

A

CAD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

68 y/o male, got PCV 23 at age 65. What vaccine to give now?

A

PCV 13

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Significant risk factor for Esophageal Adenoca

A

Obesity + GERD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Lights criteria?

A

If exudate
Pleural fluid protein to serum protein >0.5
Pleural fluid LDH to serum protein >0.6
Pleural LDH >.67 time s the limit of normal

Exudates:
PE

Transudate: leaky

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Geriatric patient; what will affect pharmacokinetics?

A

Increase percentage fat!

Decrease lean body mass

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Bioterrorism that needs txt with 60 days of continues antibiotic?

A

Antrax!

TX with Fluroquinolones and Doxy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

HIV testing by USPTF?

A

Age 15 - 65

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

ABI for Dvt

Normal?
Abnormal

A

1-1.4 is normal
>1.5 incompressible
<0.9 is abnormal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

When to screen for Hepatitis C

A

If patient was born bet 1945-1965

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Test for Hereditary Hemochromatosis?

A

Ferritin and Transferrin saturation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

USPSTF guidelines for 60 y/o Male who smoked for 20 yrs.

What do screen?

A
  • Low dose chest CT!
  • for age 55-80
  • smoker or quit within 15 yrs
  • 30 pack years

Other guidelines

  • Screen for AAA if 65-75
  • screen for Osteoporosis if Female > 65
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Hyperplastic Polyp less than 10 mm; when to rpt colonoscopy

A

In 10 yrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Labs of Vitamin B12 deficiency

A

Elevated Methylmalonic acid plus elevated Homocysteine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Most common Carcinoma in the US?

A

Basal Cell Carcinoma

21
Q

Painless Ulcer in Labia, RPR negative.

How to confirm?

A

Rpt RPR!

- test becomes positive after 3 weeks from the appearance of the chancre

22
Q

Specificity vs Sensitivity

A

Specificity - ability to identify those who do NOT have the disease (good for screening)

Sensitivity - ability to identify those who have the disease(good for confirmatory)

23
Q

Patient with Celiac Disease. She is high risk for?

A

Osteoporosis

- decrease absorption of Ca and Vit D

24
Q

Non pruritic rash in the axilla; coral red flurescence on woods light
DX?

A

Erythrasma : Corynebacterium

Tx: Erythromycin or Clindamycin

25
Q

Best Diagnositic test for Vit D deficiency?

A

25- hydroxy vitamin D

26
Q

Best for Excercise induced Bronchospasm?

A

Albuterol + low dose corticosteroids

27
Q

Strategy to identify the unrecognized hep c is to screen what?

A

All born bet 1945-1965. Age 72- 92

28
Q

Most common neurological complications of Paget’s?

A

Hearing loss

29
Q

Lyme disease. Most common cardiac problems?

A

HEART BLOCK –> TEMPORARY!

30
Q

Most common cause of medication related adverse events in the US?

A
  1. Anticoagulants
  2. Opioids
  3. DM Meds
31
Q

Risk factor for Uncomplicated Cystis?

A

Frequent Sex

32
Q 
65 y/o female had bone density screening
Low dietary Ca intake
DXA showed -1.8 at hip and -2.1 at spine
10 yr risk of hip fx is 1.3%
Mgt?
A
  • Increase Ca to 1200mg/day and Vit D supplementation 800IU

* if 10 yr risk of hip fx is >20%, may do Alendronate, or Calcitonin-Salmon

33
Q

CT scan is equivalent to how many CXR?

A

400

34
Q

Patient with menorrhagia

What will be consistent with von Willebrand?

A
  • prolong PTT

* coagulation disorder; decrease protein complex of platelet adhesions, hence Platelets should be normal

35
Q

36 y/o male with episodic rectal pain
Every 3- 6 months; sharp severe, cramp like
1-15 mins; normal anoscopy and DRE

DX?

A

Proctalgia fugax

36
Q

18 y/o with intensely pruritic papular eruption in the waist after walking in the woods
PE: excoriated papules along the belt line
Cause of rash?

A

Chiggers - mite larvae - crawl until they reach constrictive clothing like belt and socks

37
Q

Patient how is 200 lbs ABOVE her ideal wt.

Which wt loss treatment will decrease her cardiac risk?

A
  1. Bariatric surgery! - reduce all cause mortality

* Orlistat and Phentermine will have moderate wt loss but no decrease in morbidity and mortality

38
Q

Most prevalent form of elderly abuse

A

Financial exploitation

39
Q

Chronic fatigue syndrome

Components?
Symptoms that rules it out?

A
  1. 6 months of pathologic fatigue ,unrefresh sleep ,impairment of focus and concentration ,ORTHO static intolerance ,post exertional malaise + tender lymph nodes
  2. Not in Chest pain, Neuro deficits, enlarged LN, Joint erythema
40
Q

What physiologic change do you expect in the elderly in terms of BP?

A

WIll have widen pulse pressure
The DBP will decline
PP= SBP - DBP

41
Q

60 y/o male with DDD

Herbal supplement that may be beneficial?

A

S-adenosine L- Methionine

42
Q

90 year old schedule for surgery

What test to assess frailty?

A

Gait speed

Frailty: age related ; multidimensional state of decreased physiologic reserves

43
Q

Patient with Irritable bowel syndrome

Therapy to reduce abdominal cramping?

A

Peppermint oil! - has antispasmodic properties

44
Q

Drug noted to beneficial for a common disease
Cheap, generic, no pharma firm willing to fund a trial
What type of study is good to evaluate this treatment?

A

A Non -inferiority trial: does not distinguish that a new drug is not inferior or superior

45
Q

46 y.o male with ADPCKD with HTN.Meds?

A

ACE!

46
Q

Patient wants to manage HTN non pharmacologic.
Recommendation?
How much salt?
How much wine?

A

Monitor home BP
Salt 2400mg/day = 1 tsp of table salt
2 drinks of wine/day for men and 1 drink for women

47
Q

Greatest benefit of Bariatric surgery

A
  • remission of type 2 dm

- decrease all cause mortality

48
Q

Mosquito repellent safe for pregnant?

A

DEET 35% insect repellents

Oil of lemon eucalyptus is comparable to DEET but not advised for pregnant or children age less than 3

Citronella- not for disease carrying mosquitoes

ITE 2015 + 2016 (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions